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nc� Evcrgrcrn <br /> � _�,� �� CONSTRUCTION everett <br /> everett PERMIT <br /> L�1V NSII ;llP➢FS <br /> [VIPLII ':.45111ri1.t114 <br /> 95}01 <br /> °`°, °` �°^'M°�^` gUILDING MECHANICAL PLUMBING <br /> otvu.oentrvi <br /> OWNEq MAIL AODRE55 ZIP PMONE <br /> 3'": "t?si 7:13��70 T?f��6 <br /> ARCH�TECT OR DESIGNLR M11AIL ADD(iE55 PHONE LICINSE NO. <br /> GENERALCONTRACTOF MAILADORESS PNONE LICENSENO. <br /> .i.:i'••p•� ' ;1:�'fi' ^:. iif.• �• tr-«.�R� �1�T;�i�3 223"'}7.�.C�t <br /> MEC11t1NICAL CONTRACiOR MAIL ADDRESS PHONE �IC[NSL NO. <br /> PLUMpING CONTRACTOR MAILADDRE55 PHONE LICENSE NO. � <br /> W <br /> m <br /> PERMIT CLASS OF WOFk � <br /> z <br /> �VILDING ❑PLUMBING �MCGNANICAL F'� <br /> ❑NEW ❑AOOITION ❑ALTERATION �R[PAIN � <br /> VALVATION F WO�.yfi�K � <br /> S �,y ❑�FMOLI;H ❑FENCE ❑SiGN ❑SWIMMING POOL a <br /> DESCfll6f WOfiK ��� <br /> ''?'P,v.G FZ'^ "1.,A.T <br /> raoroseo use MECHANICAI <br /> �rr� occue� poi� �N�.t. ��rc. �ei.ec. <br /> LLGA�DESCRIPTION UF PIiOPEI;I V ISHOW OELOW OR ATTACH G/�5 <br /> ❑DUR COPIE51 <br /> �4��� ��:;• y NO. TYPE OF EQUIPMENT FEE <br /> �or�_ u�ocK—or — — <br /> � -nin coNo.uNirs-�+.P. en. S i <br /> R[FfiIGE�AT!ON UNITS--H.P. EA. � <br /> 601LEfi5-HP. [A. 1 <br /> Gf�S FI(iE0 A.C. VNITS-TONNAGE EA. <br /> � fORCE�nIR SVSTEMS-0.T.U. M EA. I <br /> JO� ADDRESS y cRY� WALL HEl�TERS�-O.T.U. M <br /> iL� w���� �� •�� � UNIT MEATEPS-A.T.U. M I <br /> EVAPORniIVECOOLERS <br /> PLUMBING CLOTHESDRVERS I <br /> VENTILATION Fl�N <br /> RANGEHoO� I <br /> NO. 7VPE OF FIXTURE OP ITEM FEE ���� ���NOLING UNIT- C.P.M. <br /> WATERCLOSET(TOILET) $ �NCINER�iOR I <br /> BA7NTUA <br /> LAV�TORYIWASHBASIM I <br /> SHOWFR <br /> KITCHEN SINK R OISP. SUp TOTAL ^ � <br /> OISHWASH[H PERMIT 5 <br /> LAUNDIiV TRAV TOTALf-[E 5 I <br /> CLOTHES WASNER 'H�S P[RMIT �ECOMES NVLL ANO VOIO IF WOHK OR GON;TRUC <br /> WATFq ��EATER TION AUTHORI2ED IS NOT COMM[NCED WITHIN 120 OAVS, OR IP <br /> URINAL CONSTRUCTION OR WORK IS SUSP[NDE� OR A13ANDONEO FOR A <br /> _IOfiINKING �OUIJI"AIN �ERIOD OF 120 DAYS M ANV TIME AFT[F WORY, i5 COMMENCED. <br /> FLOOfi-SINK Oq pR�IN I HEliE6V CEIiTIFY iHAT I HAVL READ ANU EXAMINED TNIS AN <br /> V4CUUM pREAKLRS PLICAiION ANO KN01Y THE SAId[ TO[3[ 1 RUE AND C014RECT. ALL <br /> FOOF OFAINS-RAIWI@l.OFqS ��OVISIONS OF �AVJ; ANp ORDINAtJC[5 GOVERNiNG THIS TVPE <br /> _ OF WOHY. WILL OE CONPLIEU WITH WH@TH[R SPECIFIEO HERHN <br /> SINK ISERVtCE-pAR,ETC.I OR NOT, THE GfiANTING OF !� PERMIT DOES NOT PRE:UM1IL TO <br /> GIVG AUTHORITY TO VIOLATE OR CANCL� THL VROVISI�ttJS OF <br /> ANY OiifER STAT[ Ofi IOCAL LAW REGULATING CONST�iVCTiOk <br /> OR TH[PEHFORMnNCE OF CONSTRVCTION. <br /> SUBTOTAL <br /> PERMIT 5 —� <br /> iOTALFEE S ��y <br /> —_ — X 1/J/ fV <br /> SIGNATUREOFCONTqACiORORAVTH.AGENT DATL <br /> SID[ VARDSETIDACK STREETS[T9ACK REARVARDSET[3ACKPL4�CHECKNUMBER PLANCHECKfEC <br /> Ff@ RECEIPT NO. <br /> U>E :ONE lOT AREA VACANTSITE <br /> ❑vEs ❑No FEES VALUATION FEE <br /> ITVPEOFCONST. OCCUPANCYGftOUN UNITOSDWELLING � <br /> ISIZE OF 6LDG. NO.OF SiOfiIES MAX.00G LOAD UUILOING 5 J�7C1V�W v� �1N <br /> I PWMBING � <br /> FIREZONE BASFMENT FIRESPqINKLEftS � <br /> HCOUIREO I <br /> i ❑rts ❑No n+ec�+n�ucn� i <br /> SPECInL CONDITIONS-. OTHER � <br /> _ I <br /> -T— <br /> P[NLl.fv SEC. 3031a1 � <br /> I <br /> _�*'_ '^"� `,1T^.^ i"} lF•.i• .� �..,;�z.•. — —_ _. I <br /> TOTAL �-:� � <br /> c.. <br /> P[RMIT VALIDATION <br /> \NHtN PROPLRI Y VA61pAiEG IIN l!IIPSPACN TI11515 V'OUR PE9MIT <br /> I _ _ <br /> I <br /> pnC11CA110Y/CCEPiCUBT r�C`P(KIOOY �I!Jv1Ultllri5°UPbrIBY <br /> -�� U� <br /> � :: <br /> I <br />